Dental
Owasso Pediatric Dentistry, PLLC
Owasso Pediatric Dentistry, PLLC was paid $45K by Medicaid between Aug 2024 and Dec 2024, across 15 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.
33Billing provider infoOWASSO PEDIATRIC DENTISTRY, PLLC
OWASSO, OK 74055
OWASSO, OK 74055
33aNPI1750137907assigned 04/29/2024
33bProvider typePublic Health Dentist
28Total paid$45K
24GClaims1,847
24DCodes billed15
24AFirst – last monthAug 2024 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 1,847 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 96 | 17 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 212 | 212 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 156 | 156 | $5K |
| D1206 | Topical application of fluoride varnish | 9.8% | 247 | 247 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 275 | 274 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 487 | 258 | $4K |
| D0272 | Bitewings - two radiographic images | 5.2% | 131 | 131 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 70 | 69 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 29 | 13 | $2K |
| D1351 | Sealant - per tooth | 2.3% | 43 | 13 | $1K |
| D0330 | Panoramic radiographic image | 2.1% | 19 | 19 | $926.82 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 41 | 41 | $832.26 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCARDON, CREED (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mco Peds PLLC | Jenks, OK | $2.51M |
| Oklahoma City Dental SW, PLLC | Oklahoma City, OK | $1.24M |
| Summer Dental Stillwater, PLLC | Stillwater, OK | $1.22M |
| Sapulpa Kids Dental PLLC | Sapulpa, OK | $1.12M |
| Spring Orthodontics Tulsa | Tulsa, OK | $1.03M |
| Spring Dental Collinsville, PLLC | Collinsville, OK | $1.01M |
| Okc 89TH Dental, PLLC | Oklahoma City, OK | $962K |
| Tulsa Kids Dental PLLC | Tulsa, OK | $857K |
| Witchita 21ST Dental, PA | Wichita, KS | $802K |
| Summer Dental Midwest City, PLLC | Midwest City, OK | $454K |
| Spring Dental Vinita, PLLC | Vinita, OK | $371K |
| River Dental Siloam Springs, PLLC | Siloam Springs, AR | $267K |
| Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC | Tulsa, OK | $194K |
| Cottonwood Dental Maize, PA | Wichita, KS | $186K |
| Redbud Dental Edmond, PLLC | Edmond, OK | $157K |
| Dental Care of Wichita PA | Wichita, KS | $73K |
| River Dental Rogers South, PLLC | Rogers, AR | $66K |
| River Dental Rogers, PLLC | Rogers, AR | $61K |
| Marion Family Smiles, P.A. | Marion, KS | $56K |
| Willow Dental Bellevue, LLC | Bellevue, NE | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.